FORT WORTH, TX ·
OSHA Injury Report: ABS-0020-0021-04223 FAC-04223-FORT WORTH-TX
Injury · Job transfer or restriction
At a glance
On , an injury at ABS-0020-0021-04223 FAC-04223-FORT WORTH-TX in 9300 CLIFFORD ST, FORT WORTH, TX 76108 resulted in job transfer or restriction. Employee was service Supervi in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- ABS-0020-0021-04223 FAC-04223-FORT WORTH-TX
- Parent company
- Albertson's LLC
- Street
- 9300 CLIFFORD ST
- City
- FORT WORTH
- State
- TX
- ZIP
- 76108
- On-site location
- DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
CHECKING SCANNING
What happened
Tripped over cap on floor in service deli in between cheese case and ready meals injuryed left shoulder left hip left knee and neck
Injury or illness
Bruised Left Knee Fall CAP
Object or substance involved
CAP
Summary line
Tripped over cap on floor in service deli in between cheese case and ready meals injuryed left shoulder left hip left knee and neck
Employee and industry
- Job description
- Service Supervi
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 109
- Hours worked at this establishment (2023 total)
- 157,564
- EIN
- 820184434
- Establishment ID
- 1140331
- Employer case #
- 66990
When (timing detail)
- Date of incident
- Shift started
- 06:15
- Time of incident
- 09:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-20
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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